Category: Health

Probiotics for kidney health

Probiotics for kidney health

Adv Nealth. stengel inserm. As it Maca root for hormones a review Probioticss, it was not necessary to submit Probiotics for kidney health study to an ethics Joint maintenance support research committee, as kidnet analysis was based heaalth secondary kidndy already published in other articles. Impact of the use of probiotics and synbiotics in people with kidney disease: a literature review. Since kidney replacement therapy KRT is likely to modify the relationship between yoghurt and probiotic intakes and inflammation, we removed the 70 patients having received KRT before the CRP assay date and FFQ completion from our sensitivity analyses leaving patients. Nutrición y microbiota en población pediátrica. Gut microbiota, hypertension and chronic kidney disease: Recent advances.

Probiotics for kidney health -

The RCTs featured subjects, classified into for intervention and for control. Compared to the control group, patients who took probiotics had their renal function injury significantly ameliorated, and glucose homeostasis and lipid metabolism improved.

The inflammation and oxidative stress levels were also found to be better. Upon further analysis, the biomarkers were affected by several factors, such as probiotic intake patterns, doses and duration of the intervention.

In Chapman et al. The phenomenon could occur due to the dosage amount of more than 4 billion CFU daily and multiple species at work, resulting in improved blood urea nitrogen. Aerobic bacteria contribute to high urea production and an increase in pH levels. The bacteria produce uremic toxins and are associated with the progression of CKD.

One study reviewed assigned 24 patients with CKD to the experimental group low-protein diet with prebiotic and probiotic supplements or the control group low-protein diet and no supplements. Results showed the declining eGFR improved in participants who consumed a low-protein diet supplemented by prebiotics and probiotics.

The researchers also considered a study in which patients with CKD were given prebiotics and probiotics or a placebo. Here, it was determined that patients who consumed Lactobacillus , Bifidobacteria and Streptococcus with prebiotics had positive changes to the stool microbiome, as well as a decrease of p-cresol and indoxyl sulfate in their gastrointestinal tract.

According to the Nelson and Wysocki, probiotic-containing foods that nephrologists can recommend patients add to their diet include:. Disclosure s : The authors report no relevant financial disclosures. Nelson K and Wysocki J.

J Ren Nutr. Healio News Nephrology Nutrition. Mafra D, Lobo JC, Barros AF, Koppe L, Vaziri ND, Fouque D. Role of altered intestinal microbiota in systemic inflammation and cardiovascular disease in chronic kidney disease.

Future Microbiol. Li F, Wang M, Wang J, Li R, Zhang Y. Alterations to the gut microbiota and their correlation with inflammatory factors in chronic kidney disease.

Front Cell Infect Microbiol. Koppe L, Mafra D, Fouque D. Probiotics and chronic kidney disease. Mafra D, Borges N, Alvarenga L, Esgalhado M, Cardozo L, Lindholm B, et al. Dietary components that may influence the disturbed gut microbiota in chronic kidney disease.

McFarlane C, Ramos CI, Johnson DW, Campbell KL. Prebiotic, probiotic, and synbiotic supplementation in chronic kidney disease: a systematic review and meta-analysis. J Ren Nutr [Internet].

Hill C, Guarner F, Reid G, Gibson GR, Merenstein DJ, Pot B, et al. Expert consensus document: the international scientific association for probiotics and prebiotics consensus statement on the scope and appropriate use of the term probiotic.

Nat Rev Gastroenterol Hepatol. Wang I-K, Wu Y-Y, Yang Y-F, Ting I-W, Lin C-C, Yen T-H, et al. The effect of probiotics on serum levels of cytokine and endotoxin in peritoneal dialysis patients: a randomised, double-blind, placebo-controlled trial.

Benef Microbes. Natarajan R, Pechenyak B, Vyas U, Ranganathan P, Weinberg A, Liang P, et al. Randomized controlled trial of strain-specific probiotic formulation Renadyl in dialysis patients.

BioMed Res Int [Internet]. Viramontes-Hörner D, Márquez-Sandoval F, Martín-del-Campo F, Vizmanos-Lamotte B, Sandoval-Rodríguez A, Armendáriz-Borunda J, et al. J Ren Nutr. Soleimani A, Zarrati Mojarrad M, Bahmani F, Taghizadeh M, Ramezani M, Tajabadi-Ebrahimi M, et al. Probiotic supplementation in diabetic hemodialysis patients has beneficial metabolic effects.

Borges NA, Carmo FL, Stockler-Pinto MB, de Brito JS, Dolenga CJ, Ferreira DC, et al. Probiotic supplementation in chronic kidney disease: a double-blind, randomized, placebo-controlled trial. Shariaty Z, Mahmoodi Shan GR, Farajollahi M, Amerian M, Behnam Pour N.

The effects of probiotic supplement on hemoglobin in chronic renal failure patients under hemodialysis: a randomized clinical trial. J Res Med Sci. Yacoub R, Kaji D, Patel SN, Simoes PK, Busayavalasa D, Nadkarni GN, et al. Association between probiotic and yogurt consumption and kidney disease: insights from NHANES.

Nutr J [Internet]. Stengel B, Combe C, Jacquelinet C, Briançon S, Fouque D, Laville M, et al. The French chronic kidney disease-renal epidemiology and information network CKD-REIN cohort study. Nephrol Dial Transplant.

Stengel B, Metzger M, Combe C, Jacquelinet C, Briançon S, Ayav C, et al. Risk profile, quality of life and care of patients with moderate and advanced CKD?

Nephrol Dial Transplant [Internet]. Levey AS, Stevens LA, Schmid CH, Zhang YL, Castro AF, Feldman HI, et al. A new equation to estimate glomerular filtration rate. Ann Intern Med.

Affret A, Wagner S, El Fatouhi D, Dow C, Correia E, Niravong M, et al. Validity and reproducibility of a short food frequency questionnaire among patients with chronic kidney disease.

BMC Nephrol. Agence Française de Sécurité Sanitaire des Aliments. INCA2 - Etude Individuelle Nationale des Consommations Alimentaires 2. pdf accessed 22 July Agence Nationale de Sécurité Sanitaire- Alimentation, Environnement et Travail. htm accessed 22 July Ioannou K, Stel VS, Dounousi E, Jager KJ, Papagianni A, Pappas K, et al.

Inflammation, endothelial dysfunction and increased left ventricular mass in chronic kidney disease CKD patients: a longitudinal study. PLoS One. Menon V, Wang X, Greene T, Beck GJ, Kusek JW, Marcovina SM, et al.

Relationship between C-reactive protein, albumin, and cardiovascular disease in patients with chronic kidney disease. Am J Kidney Dis. Ikizler TA, Wingard RL, Harvell J, Shyr Y, Hakim RM. Association of morbidity with markers of nutrition and inflammation in chronic hemodialysis patients: a prospective study.

Nacb Lmpg Committee Members, Myers GL, Christenson RHM, Cushman M, Ballantyne CM, Cooper GR, et al. National academy of clinical biochemistry laboratory medicine practice guidelines: emerging biomarkers for primary prevention of cardiovascular disease.

Clin Chem. Rubin D. Multiple Imputation for Nonresponse in Surveys. van Buuren S, Groothuis-Oudshoorn K. Mice: Multivariate imputation by chained equations in R. J Stat Softw.

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Synbiotics easing renal failure by improving gut microbiology SYNERGY : a randomized trial. Thongprayoon C, Kaewput W, Hatch ST, Bathini T, Sharma K, Wijarnpreecha K, et al. Effects of probiotics on inflammation and uremic toxins among patients on dialysis: a systematic review and meta-analysis.

Dig Dis Sci. Zheng HJ, Guo J, Wang Q, Wang L, Wang Y, Zhang F, et al. Probiotics, prebiotics, and synbiotics for the improvement of metabolic profiles in patients with chronic kidney disease: a systematic review and meta-analysis of randomized controlled trials.

Crit Rev Food Sci Nutr. Biotic supplements for renal patients: a systematic review and meta-analysis. Nutrients Tao S, Tao S, Cheng Y, Liu J, Ma L, Fu P. Effects of probiotic supplements on the progression of chronic kidney disease: a meta-analysis.

Nephrol Carlton Vic. Pelletier S, Roth H, Bouchet J-L, Drueke TB, Hannedouche T, Jean G, et al. Évolution de la prise en charge des troubles minéraux et osseux des patients hémodialysés en France entre et : observatoire national du métabolisme minéral et osseux.

Néphrologie Thérapeutique. Xu G, Luo K, Liu H, Huang T, Fang X, Tu W. The progress of inflammation and oxidative stress in patients with chronic kidney disease. Ren Fail. Yilmaz MB, Grossini E, Silva Cardoso JC, Édes I, Fedele F, Pollesello P, et al. Renal effects of levosimendan: a consensus report.

Cardiovasc Drugs Ther. Shlipak Michael G, Fried Linda F, Crump C, Bleyer Anthony J, Manolio Teri A, Tracy Russell P, et al. Elevations of inflammatory and procoagulant biomarkers in elderly persons with renal insufficiency.

Ranganathan N, Friedman EA, Tam P, Rao V, Ranganathan P, Dheer R. Probiotic dietary supplementation in patients with stage 3 and 4 chronic kidney disease: a 6-month pilot scale trial in Canada.

Curr Med Res Opin. Burton KJ, Rosikiewicz M, Pimentel G, Bütikofer U, von Ah U, Voirol M-J, et al. Probiotic yogurt and acidified milk similarly reduce postprandial inflammation and both alter the gut microbiota of healthy, young men. Br J Nutr. Yuan M, Singer MR, Moore LL.

Yogurt consumption is associated with lower levels of chronic inflammation in the framingham offspring study.

Gadotti TN, Norde MM, Rogero MM, Fisberg M, Fisberg RM, Oki E, et al. Dairy consumption and inflammatory profile: a cross-sectional population-based study, São Paulo, Brazil. Nutr Burbank Los Angel Cty Calif. Ross R. Atherosclerosis — an inflammatory disease. N Engl J Med.

Li W-J, Chen X-M, Nie X-Y, Zhang J, Cheng Y-J, Lin X-X, et al. Cardiac troponin and C-reactive protein for predicting all-cause and cardiovascular mortality in patients with chronic kidney disease: a meta-analysis.

Probiotics for kidney health ofr play a vital role in the body. Their primary function is to keep body fluids and electrolyte Probiotics for kidney health within Probiootics levels. It also filters out waste products from the blood and excretes them out of the body as urine. Moreover, it helps maintain healthy blood pressure and produces hormones that help in proper bone growth and development. Probiotics for renal health are extremely beneficial for kidney functioning. Probiotics for kidney health

Probiotics for kidney health -

Writing in Cell Metabolism , Zhu et al. casei Zhang and kidney protection in AKI and CKD mouse models and in an exploratory human clinical trial Figure 2.

Kidney protection by L. casei Zhang was observed in experimental AKI and CKD as well as for human CKD. casei Zhang was transmissible through fecal microbiota transplantation FMT. Administration of L. AKI results were confirmed in cisplatin and lipopolysaccharide LPS -induced AKI.

However, L. casei Zhang was superior to L. acidophilus as shown by better kidney function and milder histological tubular injury and kidney expression of fibrosis-related genes.

Reduced kidney fibrosis was also observed in the subtotal nephrectomy model in which prebiotics were started 2 weeks after surgery, i. after induction of kidney injury. Inflammatory infiltrates were analyzed only in a second cohort of mice treated with antibiotics before bilateral IRI and probiotic treatment, showing lower expression of macrophage-associated factors in kidneys of mice treated with L.

casei Zhang. This experiment showed that the beneficial effect of L. casei Zhang was independent from the prior gut microbiota, as this was disrupted by antibiotics, a frequent occurrence in the clinic, especially in intensive care units ICUs.

The molecular mechanisms of kidney protection by L. casei Zhang appear to be complex and multipronged Figure 3. Zhu et al. casei Zhang to demonstrate loss of protection, it is unclear whether kidney protection afforded by L.

casei Zhang actually involved these mediators. Molecular mechanisms of kidney protection by L. casei Zhang modified the gut microbiota, increasing serum SCFA butyrate, propionate, acetate and consequently increasing kidney propionate. Overall, gut microbiota SCFA may represent the molecular link between L.

casei Zhang and protection from AKI and CKD. casei Zhang compared with the group that did not receive probiotics. However, the difference was not significant.

Indeed, kidney protection could be transferred through stool transplant. Previous studies assessed the beneficial effect of SCFAs in preventing AKI induced by IRI [ 25 ] and folic acid nephropathy [ 26 ]. A mixture of three SCFAs butyrate, propionate, acetate administered intraperitoneally 30 min before ischemia and at reperfusion improved IRI renal dysfunction likely through the inhibition of histone deacetylase activity [ 25 ].

The oral administration of the same SCFAs in drinking water decreased folic acid—induced tubular injury at day 2 and interstitial fibrosis and chronic inflammation at day Since mice deficient in G-protein-coupled receptors GPR41 and GPRA were not protected, SCFA activation of GPR41 and GPRA appeared to play a major role in kidney protection [ 26 ].

Any of the SCFAs or the combination was associated with milder AKI, inflammation and fibrosis at 5 and 24 days, as assessed by plasma urea and histology including Masson staining for fibrosis and quantification of neutrophils and macrophages for inflammation and gene expression of fibrosis and inflammation markers.

Propionate showed the largest benefit while the combination did not have an additive benefit. However, whether SCFA supplementation increased kidney SCFA levels was not addressed, and it remained unclear whether protection depended on activation of SCFA receptors or on epigenetic modulation through histone deacetylase inhibition or other mechanisms [ 27 , 28 ].

In metabolic pathway analysis, IRI AKI resulted in lower nicotinamide metabolism including reduced kidney NAD and nicotinic acid adenine dinucleotide levels at day 5 and this was prevented by L. casei Zhang, which in single-cell transcriptomics analysis also increased the gene expression of enzymes in this pathway [ 24 ].

Fibrosis was not assessed. Thus Piedrafita et al. did not assess it either. The cause of CKD and the prior use of kidney protective medication were not reported. They were randomized to either L. The primary endpoint was not specified.

It was then decided to extend the follow-up for up to 10 months without any further intervention, and here details become fuzzy. Cystatin C and UACR data for the extended follow-up period were not reported, while the duration of follow-up is surprisingly different for serum creatinine and for eGFR data.

In this regard, serum creatinine increased in both groups during the longer follow-up, but significantly more in the placebo group, while again surprisingly the significant difference in eGFR change between the groups was mainly driven by an increase in eGFR in the L.

casei Zhang group. Regarding the mechanisms of benefit, L. casei Zhang colonization of feces was demonstrated at 3 months in the intervention group, as well as differences in serum nicotinamide. However, the latter were explained by decreased nicotinamide levels in the placebo group rather than by increased levels in the L.

In summary, human data are clearly exploratory and should be confirmed in a well-designed and well-reported clinical trial, which should have pre—defined primary endpoints to be assessed at predefined time points.

The hallmark of intestinal dysbiosis is a reduction of saccharolytic microbes that produce SCFA and, in the case of CKD, an increase in proteolytic microbes that produce different molecules possibly related to uremic toxicity.

casei Zhang in murine models and a human clinical study of kidney injury, laying the groundwork for future research about its potential role in human kidney disease. Benefit was hypothesized to depend on the production of beneficial metabolites by gut bacteria, especially SCFAs and nicotinamide, as the gut microbiota was enriched in bacteria able to provide these molecules and administration of these molecules was also beneficial.

Additionally, the hypothesis was not confirmed by assessing whether blocking the actions of SCFA or nicotinamide prevented the beneficial effect of L. This highlights the need for future work to clarify the mechanism behind the observed benefit of L.

casei Zhang supplementation. The human CKD data were both encouraging, and surprising. They were encouraging because a relatively simple and likely safe therapeutic intervention resulted in improved kidney function, and surprising, because the small sample size would have been expected to preclude any observation of benefit on eGFR and the serum creatinine and eGFR values did not change concordantly.

casei Zhang in kidney disease Figure 4. Given the available preclinical data, the most plausible scenario for clinical validation is L. casei Zhang supplementation before a programmed intervention known to result in a high incidence of AKI, such as cardiovascular surgery, cisplatin chemotherapy for cancer or patients at high risk of AKI at hospital admission [ 30 , 31 ].

Also, a large-scale randomized trial is required to evaluate the clinical efficacy of L. casei Zhang for CKD. This new trial should overcome some of the deficiencies of the clinical study reported by Zhu et al. Additionally, the fact that kidney protection could be transmitted in mice by stool transplant and was observed in mice treated with antibiotics opens the door to trials of kidney protection in ICUs with the aim of providing herd protection.

In ICUs, the widespread use of antibiotics, debilitated nature of patients and frequent use of emergency procedures favors cross-contamination with pathogens such as Clostridium difficile [ 32 ], implying fecal—oral transmission of microbiota between patients.

The hypothesis that L. casei Zhang may provide herd protection from AKI in ICUs through cross-transmission between patients may be addressed by comparing ICUs from different hospitals or different ICUs in the same hospital, some of which may provide the standard of care and others the standard of care plus oral L.

casei Zhang supplementation to all patients and personnel in the unit that agree to participate, having primary endpoints of AKI and severe AKI. Clinical research roadmap for L. casei Zhang kidney protection. Based on preclinical studies, three settings may be used to probe the clinical translation of kidney protection by L.

A Prevention of AKI in high-risk settings. Individuals at high risk of AKI may be randomized to L. casei Zhang administration or control. B Prevention of CKD progression. ICUs will be randomized to administration of L.

casei Zhang or control to all new admissions and healthcare personal who agree to participate. difficile and antibiotic-resistant bacteria.

Salary support is provided by the Ramon y Cajal program to M. and by grant agreement from ITN STRATEGY-CKD to C. has received consultancy or speaker fees or travel support from Advicciene, Astellas, AstraZeneca, Amicus, Amgen, Fresenius Medical Care, Bayer, Sanofi-Genzyme, Menarini, Kyowa Kirin, Alexion, Idorsia, Chiesi, Otsuka, Novo Nordisk and Vifor Fresenius Medical Care Renal Pharma and is Director of the Catedra Mundipharma-UAM of diabetic kidney disease and the Catedra Astrazeneca-UAM of chronic kidney disease and electrolytes.

is the Editor-in-Chief of CKJ. Foreman KJ , Marquez N , Dolgert A et al. Forecasting life expectancy, years of life lost, and all-cause and cause-specific mortality for causes of death: reference and alternative scenarios for for countries and territories.

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Diet Joint maintenance support long been known High-intensity kickboxing workouts influence the course of chronic kidney disease Joint maintenance support and ,idney even Joint maintenance support in Probiotics for kidney health kidney injury AKI. Diet hhealth influence kidney heaalth through Probiltics direct impact of specific nutrients kidny the human body through modulation of the gut microbiota composition or through metabolites generated by the gut microbiota from ingested nutrients. The potential for interaction between diet, microbiota and CKD has fueled research into interventions aimed at modifying the microbiota to treat CKD. These interventions may include diet, probiotics, prebiotics, fecal microbiota transplant and other interventions that modulate the microbiota and its metabolome. A recent report identified Lactobacillus casei Zhang from traditional Chinese koumiss as a probiotic that may protect mice from AKI and CKD and slow CKD progression in humans.

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The enzyme that could help 700 million people with chronic kidney disease

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